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Henry De Jesus-De La Cruz Valid NPI

Individual provider · Gastroenterology Physician · Carolina, PR

NPI
1174940068
Type
Individual (Type 1)
Primary specialty
Gastroenterology Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207RG0100X
License number
19577 (PR)
Sex
Male
Sole proprietor
No
Enumerated
2014-03-28
Last updated
2021-08-30
Practice location
Ave Sanchez Osorio Esq Via 1, Urb Villa Fontana
Carolina, PR 00983
(787) 963-0317

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